Nokea
The nurse is reviewing a new client's medication orders. Which order would prompt the nurse to notify the health care provider?
- A. allopurinol 300 mg PO daily
- B. potassium chloride 20 mEq PO daily
- C. warfarin (Coumadin) 50 mg PO daily
- D. metoprolol (Lopressor) 50 mg PO daily
Correct Answer: C
Rationale: A 50 mg dose of warfarin is unusually high and likely a dosing error, requiring provider clarification. Other orders are within typical ranges.
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A client seen in the emergency department for influenza asks for an antibiotic prescription. Which of the following guidelines are important in helping the client decrease the risk of developing an antibiotic-resistant infection? Select all that apply.
- A. Stop taking antibiotics as soon as symptoms subside.
- B. Do not take antibiotics for viral infections, as they do no good.
- C. Do not take preventive antibiotics to avoid infection.
- D. Follow prescription directions when taking antibiotics.
- E. Take the same antibiotic for every infection.
Correct Answer: B,C,D
Rationale: Avoid antibiotics for viral infections (B), avoid prophylactic antibiotics (C), and follow prescription directions (D) reduce resistance. Stopping early (A) or reusing antibiotics (E) promotes resistance.
To ensure safety while administering a nitroglycerine patch, the nurse should:
- A. Wear gloves while applying the patch.
- B. Shave the area where the patch will be applied.
- C. Wash the area thoroughly with soap and rinse with hot water.
- D. Apply the patch to the buttocks.
Correct Answer: A
Rationale: Gloves prevent the nurse from absorbing nitroglycerin, avoiding side effects.
A client is receiving hospice and palliative care, including analgesia and other comfort measures. Which of the following indicates the client is undergoing life review? Select all that apply.
- A. The client looks through old photo albums.
- B. The client states that her analgesia is not adequate.
- C. The client reminisces about her children when they were young and her parenting skills.
- D. The client states that she is ready to die.
- E. The client states she does not want her children to have a funeral for her.
Correct Answer: A,C
Rationale: Looking at photos (A) and reminiscing about parenting (C) indicate life review, reflecting on past experiences. Other statements (B, D, E) relate to pain or end-of-life wishes.
The physician has ordered a serum aminophylline level for a client with chronic obstructive lung disease. The nurse knows that the therapeutic range for aminophylline is:
- A. 1-3 micrograms/mL
- B. 4-6 micrograms/mL
- C. 7-9 micrograms/mL
- D. 10-20 micrograms/mL
Correct Answer: D
Rationale: The therapeutic range for aminophylline is 10-20 micrograms/mL to effectively manage symptoms of chronic obstructive lung disease.
The nurse arrives at a motorcycle accident and finds the client unresponsive, apneic, and pulseless. After calling for a spectator to help, what would be the nurse's next action?
- A. Ventilate with a mouth-to-mask device
- B. Begin chest compressions
- C. Administer a precordial thump
- D. Open the airway
Correct Answer: B
Rationale: Per ACLS guidelines, for an unresponsive, apneic, pulseless client, start chest compressions immediately after calling for help to restore circulation.